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Individual

AARON BRETT SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
930 N SWITZER CANYON DR STE 101, FLAGSTAFF, AZ 86001-4834
(928) 499-3100
Mailing address
3835 E VIKING DR, EDEN, UT 84310-6802
(801) 663-6671

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
315677
AZ
251J00000X
Nursing Care Agency
Primary
5275148-3102
UT

Other

Enumeration date
08/19/2024
Last updated
10/17/2024
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